MR. JORDAN DANIEL COSTELLO
NPI 1942085238
Counselor - Mental Health in Maryville, TN

Active since August 28, 2023
1704 E BROADWAY AVE, MARYVILLE, TN 37804(865) 681-6990 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Aug 28, 2023 (2 updates tracked since 2023).

About Mr. Jordan Daniel Costello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JORDAN DANIEL COSTELLO (NPI 1942085238) is an individual mental health provider in Maryville, Tennessee and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1942085238
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JORDAN DANIEL COSTELLO
Location Address1704 E BROADWAY AVEMaryville, TN 37804-2916
Mailing Address200 Tech Center DrKnoxville, TN 37912-2747
Sole ProprietorYes
Enumeration DateAugust 28, 2023
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1942085238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1704 E BROADWAY AVE, Maryville, TN 37804

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Social Worker (Clinical)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Registered Nurse
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Psychiatry & Neurology (Psychiatry)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Counselor (Mental Health)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Social Worker
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Counselor
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Counselor
1704 E BROADWAY AVE
MARYVILLE, TN 37804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Costello's NPI number?

The NPI number for Jordan Costello is 1942085238. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Jordan Costello located?

Jordan Costello practices at 1704 E Broadway Ave, Maryville, TN 37804. The listed phone number is (865) 681-6990.

What is Jordan Costello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Costello was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.